Public Record
Villa Maria West Skilled Nursing Facility
From CMS
Facility profile
- CMS overall rating
- 5 / 5
- Certified beds
- 27
- Avg. residents per day
- 23.4
*CMS Five-Star
*CMS
*CMS
Inspection record
On record from CMS
- Citations on record
- 11
- Inspections on file
- 4
- Last inspection
- 2025-09-11
*CMS
*CMS
*CMS
Citations
11 citations on record
Each deficiency cited on a CMS health inspection of this facility, sourced from the federal record. Open a report for the raw CMS Scope and Severity grade on each finding.
What do CMS severity letters mean?
Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.
General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.
Each letter combines severity with scope: how many residents the deficiency affected.
- 0867Generalpotential for harm
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0695Generalpotential for harm
Provide safe and appropriate respiratory care for a resident when needed.
- 0880Generalpotential for harm
Provide and implement an infection prevention and control program.
- 0655Generalpotential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- 0656Generalpotential for harm
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- 0353Generalpotential for harm
Inspect, test, and maintain automatic sprinkler systems.
- 0690Generalpotential for harm
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- 0803Generalpotential for harm
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
- 0679Generalpotential for harm
Provide activities to meet all resident's needs.
- 0740Generalpotential for harm
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Inspection history
Every health inspection on record
Each CMS health inspection of this facility, and the deficiencies the surveyors cited. Where the verbatim Form 2567 statement of deficiencies is on file, it links to the full report.
- Inspection2 deficiencies
F 0655 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** The facility failed to…
Read full statement of deficiencies - Inspection6 deficiencies
F 0655 Level of Harm - Minimal harm or potential for actual harm Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Based on observation, record review and interview, the facility failed to develop a baseline care plan for oxygen use…
Read full statement of deficiencies - View inspection reportInspection6 deficiencies
- Inspection3 deficiencies
F 0679 Provide activities to meet all resident's needs. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on records review, observation and interview, the facility failed to offer and provide group activities to…
Read full statement of deficiencies
FAQ
Questions and answers
- What is Villa Maria West Skilled Nursing Facility?
- Villa Maria West Skilled Nursing Facility is a Medicare- and Medicaid-certified nursing home in Hialeah Gardens, FL, tracked by the Centers for Medicare & Medicaid Services (CMS). Its CMS Certification Number (CCN) is 106080.
- What is the CMS rating for Villa Maria West Skilled Nursing Facility?
- Villa Maria West Skilled Nursing Facility has a CMS overall rating of 5 out of 5 stars. CMS rates nursing homes on health inspections, staffing, and quality measures.
- How many beds does Villa Maria West Skilled Nursing Facility have?
- Villa Maria West Skilled Nursing Facility is certified for 27 beds. It serves an average of 23.4 residents per day.
- How many citations does Villa Maria West Skilled Nursing Facility have?
- Villa Maria West Skilled Nursing Facility has 11 citations on record from CMS health inspections, each tied to a federal deficiency tag.
- When was Villa Maria West Skilled Nursing Facility last inspected?
- Villa Maria West Skilled Nursing Facility was last inspected on September 11, 2025. CMS surveys nursing homes about once a year and after complaints.
- What can I do if I have concerns about care at this facility?
- Start by raising the concern with the facility administrator or director of nursing. Every state also runs a free long-term care ombudsman program that advocates for residents and families; the federal Eldercare Locator at eldercare.acl.gov can connect you with yours. Complaints about quality of care can also be filed with your state survey agency.
*Sourced from the Centers for Medicare & Medicaid Services (CMS). See the official record on CMS Care Compare. If you believe any information is inaccurate, report it here.
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